Feedback Readiness Index & Fidelity Measure

Introduction

The Feedback Readiness Index and Fidelity Measure (FRIFM) is an organizational readiness checklist and evaluation tool for behavioral health agencies, services and/or systems of care specifically designed to assist in the implementation of FIT. The FRIFM addresses six realms, each of which is an important organizational component in evaluating a system’s readiness to implement or fidelity to a feedback informed approach to services.

The FRIFM provides detailed indicators of issues likely to impede successful implementation of FIT practice. By completing this tool, agency managers are able to quickly and easily:

Identify a system’s strengths and weaknesses important to using the FIT approach.

Prioritize realms in need of consultation and training.

Set specific objectives and goals necessary for successful implementation of FIT.

Measure progress of and identify barriers during implementation.

Administering and then comparing the responses of the clinical staff, supervisors, and managers, can help identify and foster discussion regarding the successes, challenges, and barriers to implementing FIT. It is recommended that the FRIFM be used not only as a tool to assess readiness for FIT implementation but also as a means of evaluating whether all necessary steps and structures are in place to support FIT in the agency throughout the installation and implementation stages. The FRIFM document provides a clear picture of an agency in “full and sustainable operation.”

Completing the online assessment

Once you have completed the assessment you will receive a report detailing the scores. Since the report may take some time to complete your data is saved and you can return to it later to complete.

We realise that this is a substantial amount of information to share online about an agency. This data is stored on a secure server. Any concerns or questions please email us at info@centerforclinicalexcellence.com.

Assessment results

Once you have completed the FRIFM you will see your results.

Name
*

First Name Last Name

Work Email
*

example@example.com

Agency Name
*

Number of Clinicians

ZOHO CRM - Lead Source

Feedback Readiness Index and Fidelity Measure Instructions

The Feedback Readiness Index and Fidelity Measure (FRIFM) is an organizational readiness checklist and evaluation tool for behavioral health agencies, services and/or systems. The FRIFM addresses six realms, each of which is an important organizational component in evaluating a system’s fidelity or readiness to implement a feedbackinformed (FIT) approach to services. The six realms are:

Realm 1 - Clinical Implications

Realm 2 - Administrative

Realm 3 – Information Systems/Paperwork/Documentation/IT

Realm 4 – Regulatory and Accreditation

Realm 5 - Consumers

Realm 6 - Funders

Each realm consists of a series of statements that serve to:

Identify a system’s strengths and weaknesses important to using a FIT approach.

Enhance a strategic planning process that will assist an organization to:

Identify initial steps necessary to transition to FIT services.

Prioritize which realms need consultation and training to adjust.

Project timelines, strategic objectives and goals to implement formal client feedback on the quality and outcome of services.

Determine what resources, training and consultation would be helpful to:

Implement systems driven by client feedback and outcomes data.

Identify and provide necessary areas of staff development.

Establish documentation and information policies and procedures to achieve a FIT approach while reducing time spent in documentation tasks.

How to Use the FRIFM:The checklist and self-evaluation can be used in a number of ways:

As a tool for generating discussion among the clinical and administrative staff regarding the challenges or shortfalls in implementing FIT:

Staff and administration could meet and work through each realm.
Current realities, attitudes, opportunities or obstacles are raised and discussed as the team rates each item as Not Applicable; or from 1 to 5 with rating 5 representing full agreement.

Relevant personnel for each realm could rate each section in separate meetings. Final evaluation scores could then be discussed with the whole group.

In conjunction with onsite training and consultation to clarify and address
whatever challenges are shortfalls are identified in process of completing the form:

Telephone or onsite consultation clarifies with the executive team of the organization what priorities, resources, and strategies are needed to initiate action for change in the system.

Timelines, deliverables and responsibilities are delineated from this
interactive consultation process.

As an organizing tool to engage and enlist the input, planning and change
strategies of relevant team members for each FRIFM realm.

The importance of administration support and buy-in to successful
implementation of FIT is, for example, highlighted as management
addresses the items in realm 2.

Either alone or with consultation assistance, the organization uses the realms and resulting ratings to plan implementation strategies for each segment of the organization and for each stakeholder area.

As a fidelity and progress measure, the FRIFM can be completed as
implementation occurs:

Re-evaluation and rating of items provides a measure of progress to help modify the plan based on the results of organizational change.

Funding agency has a direct data link with participating service agencies that reimburses therapists/agencies for positive outcomes

Funding agency and participating agencies have polices that allow for a trans-theoretical approach to services.

Funding agency and participating agencies link reimbursement to positive outcomes for individual clients using integrated and continuous assessment of client response to services rendered to the client.

Funding agency provides outcome data to consumers.

Funding agency determines continuing service needs based upon outcome and process data measures.